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Prior Authorization Nurse

Company: Memorial Health
Location: Decatur
Posted on: September 12, 2021

Job Description:

Overview
Reviews all DMH and DMG scheduled inpatient and outpatient procedures and outpatient diagnostic services to validate the scheduled procedure or diagnostic service has the appropriate payor authorization or meets the payor's medical policies, there is a valid physician order, and other clinical documentation requirements are met prior to the scheduled procedure or diagnostic service.

Qualifications
Must be an RN or LPN with current Illinois license. Five years experience in clinical nursing is required.

Keywords: Memorial Health, Decatur , Prior Authorization Nurse, Other , Decatur, Illinois

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